Expanding the spectrum of reactive arthritis (ReA): classic ReA and infection-related arthritis including poststreptococcal ReA, Poncet’s disease, and iBCG-induced ReA
Reactive arthritis (ReA) is a form of sterile arthritis that occurs secondary to an extra-articular infection in genetically predisposed individuals. The extra-articular infection is typically an infection of the gastrointestinal tract or genitourinary tract. Infection-related arthritis is a sterile...
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| Veröffentlicht in: | Rheumatology international 2021-08, Vol.41 (8), p.1387-1398 |
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| creator | Taniguchi, Yoshinori Nishikawa, Hirofumi Yoshida, Takeshi Terada, Yoshio Tada, Kurisu Tamura, Naoto Kobayashi, Shigeto |
| description | Reactive arthritis (ReA) is a form of sterile arthritis that occurs secondary to an extra-articular infection in genetically predisposed individuals. The extra-articular infection is typically an infection of the gastrointestinal tract or genitourinary tract. Infection-related arthritis is a sterile arthritis associated with streptococcal tonsillitis, extra-articular tuberculosis, or intravesical instillation of bacillus Calmette–Guérin (iBCG) therapy for bladder cancer. These infection-related arthritis diagnoses are often grouped with ReA based on the pathogenic mechanism. However, the unique characteristics of these entities may be masked by a group classification. Therefore, we reviewed the clinical characteristics of classic ReA, poststreptococcal ReA, Poncet’s disease, and iBCG-induced ReA. Considering the diversity in triggering microbes, infection sites, and frequency of HLA-B27, these are different disorders. However, the clinical symptoms and intracellular parasitism pathogenic mechanism among classic ReA and infection-related arthritis entities are similar. Therefore, poststreptococcal ReA, Poncet’s disease, and iBCG-induced ReA could be included in the expanding spectrum of ReA, especially based on the pathogenic mechanism. |
| doi_str_mv | 10.1007/s00296-021-04879-3 |
| format | Article |
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Therefore, poststreptococcal ReA, Poncet’s disease, and iBCG-induced ReA could be included in the expanding spectrum of ReA, especially based on the pathogenic mechanism.</description><identifier>ISSN: 0172-8172</identifier><identifier>EISSN: 1437-160X</identifier><identifier>DOI: 10.1007/s00296-021-04879-3</identifier><identifier>PMID: 33939015</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Arthritis ; Arthritis, Reactive - etiology ; Arthritis, Reactive - microbiology ; Arthritis, Reactive - physiopathology ; Bladder cancer ; HLA-B27 Antigen ; Humans ; Infections ; Infections - complications ; Medicine ; Medicine & Public Health ; Review ; Rheumatology ; Syndrome</subject><ispartof>Rheumatology international, 2021-08, Vol.41 (8), p.1387-1398</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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The extra-articular infection is typically an infection of the gastrointestinal tract or genitourinary tract. Infection-related arthritis is a sterile arthritis associated with streptococcal tonsillitis, extra-articular tuberculosis, or intravesical instillation of bacillus Calmette–Guérin (iBCG) therapy for bladder cancer. These infection-related arthritis diagnoses are often grouped with ReA based on the pathogenic mechanism. However, the unique characteristics of these entities may be masked by a group classification. Therefore, we reviewed the clinical characteristics of classic ReA, poststreptococcal ReA, Poncet’s disease, and iBCG-induced ReA. Considering the diversity in triggering microbes, infection sites, and frequency of HLA-B27, these are different disorders. However, the clinical symptoms and intracellular parasitism pathogenic mechanism among classic ReA and infection-related arthritis entities are similar. Therefore, poststreptococcal ReA, Poncet’s disease, and iBCG-induced ReA could be included in the expanding spectrum of ReA, especially based on the pathogenic mechanism.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33939015</pmid><doi>10.1007/s00296-021-04879-3</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-2578-5575</orcidid><orcidid>https://orcid.org/0000-0002-1939-3380</orcidid><orcidid>https://orcid.org/0000-0002-8621-7790</orcidid><orcidid>https://orcid.org/0000-0002-0104-8538</orcidid><orcidid>https://orcid.org/0000-0002-6450-1993</orcidid><orcidid>https://orcid.org/0000-0003-1729-2954</orcidid><orcidid>https://orcid.org/0000-0003-3951-4618</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Rheumatology international, 2021-08, Vol.41 (8), p.1387-1398 |
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| subjects | Arthritis Arthritis, Reactive - etiology Arthritis, Reactive - microbiology Arthritis, Reactive - physiopathology Bladder cancer HLA-B27 Antigen Humans Infections Infections - complications Medicine Medicine & Public Health Review Rheumatology Syndrome |
| title | Expanding the spectrum of reactive arthritis (ReA): classic ReA and infection-related arthritis including poststreptococcal ReA, Poncet’s disease, and iBCG-induced ReA |
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